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Family Data Sheet Prepared by__________________________________________________ Date_____________ Address_____________________________________________________ Phone(___)________ City_________________________________________________ST________ZIP____________ Husband's Name________________________________________________________________ Address ______________________________________________________________________ ______________________________________________________________________________ Born _______________ Where ___________________________________________________ Married _____________ Where ___________________________________________________ Died__________Where_____________________Buried Where__________________________ Father's Name_________________________Mother's name_____________________________ Wife's Name___________________________________________________________________ Address ______________________________________________________________________ _____________________________________________________________________________ Born __________ Where ________________________________________________________ Died ___________Where____________________ Buried Where _________________________ Father's Name _________________________Mother's Name ____________________________ Child's Name_____________________________________________________________Sex___ Address _______________________________________________________________________ ______________________________________________________________________________ Born __________Where _________________________________________________________ Married ________Who/Where ____________________________________________________ Died ___________Where ____________________ Buried Where_________________________ Child's Name_____________________________________________________________Sex___ Address _______________________________________________________________________ ______________________________________________________________________________ Born __________Where _________________________________________________________ Married ________Who/Where ____________________________________________________ Died ___________Where ____________________ Buried Where_________________________ Child's Name_____________________________________________________________Sex___ Address _______________________________________________________________________ ______________________________________________________________________________ Born __________Where _________________________________________________________ Married ________Who/Where ____________________________________________________ Died ___________Where ____________________ Buried Where_________________________ Child's Name_____________________________________________________________Sex___ Address _______________________________________________________________________ ______________________________________________________________________________ Born __________Where _________________________________________________________ Married ________Who/Where ____________________________________________________ Died ___________Where ____________________ Buried Where_________________________ Child's Name_____________________________________________________________Sex___ Address _______________________________________________________________________ ______________________________________________________________________________ Born __________Where _________________________________________________________ Married ________Who/Where ____________________________________________________ Died ___________Where ____________________ Buried Where_________________________ PLEASE COMPLETE & RETURN TO- Nancy Clemmer, 1501 N. Sabin, Wichita, KS 67212 or dlcict@worldnet.att.net
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